健常大学生の体力評価からみた「脊髄障害者の体力評価基準」についての一考察

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In this study, we report on the measurements of physical fitness in healthy students (sixtynine men and sixteen women) by using a wheelchair according to the physical fitness test for paraplegic patients. In all subjects, physical fitness such as grip strength, shoulder strength (push and pull), 20-meter distance run (20 m run), 30-second shuttle run (repeat turn) and 5 minutes distance run (5 min run) was measured with the method described in the manual (manual method). In addition, grip strength, shoulder strength, back strength, step test and sit-ups were also measured according to the conventional method (normal method), and the subjects (forty-three men and eight women) were also subjected to the cardiopulmonary exercise testing using a cycle ergo meter; oxygen uptake, minute ventilation and heart rate were measured. There was no correlation between 20 m run time and each item measured in normal method. The reason is considered that body weight influences the starting velocity of 20 m run. Then, we introduced a new parameter "power of 20 m run": power of 20 m run (20 m run power) = Ibody weight (kg) + wheelchair weight (18.5kg)} × 20 (m) / run time (sec). As a result, 20 m run power was found to be significantly correlated with right grip strength (r=0.372, p<0.01), left grip strength (r=0.377, p<0.01), push shoulder strength (r=0.360, p<0.01), pull shoulder strength (r=0.471, p<0.001), back strength (r=0.392, p<0.001) in men. In women, 20 m run power and right grip strength (r=0.687, p<0.01) were significantly correlated each other. 5 min run distance and oxygen uptake efficiency slope (OUES) on voluntary subjects was significantly correlated each other both in men and in women (r=0.328 and 0.805, p<0.05 respectively). We defined here a new parameter in consideration of the effect of body weight: work of 5 min run (5 min work) = distance (m) × {body weight (kg) + wheelchair weight (18.5kg)}. As a result, 5 min run work and OUES was significantly correlated both in men and in women (r=0.519 and 0.877, p<0.001 and 0.01 respectively). It was considered that 5 min run work is an useful index reflecting cardiopulmonary functions effectively.
医療体育研究会の論文
2003-06-30

健常大学生の体力評価からみた「脊髄障害者の体力評価基準」についての一考察

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